Individual provider · Type 1 NPI

Rose Sona Bright Jibu, NP

Pediatric Nurse Practitioner · Hicksville, NY

NPI number 1720536287 Active

Practice location

11 Windsor St, Hicksville
Hicksville, NY 11801-2357

Mailing address

1650 Grand Concourse, Bronx Lebanon Hospital Center
Bronx, NY 10457-7606

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X382662 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1720536287

Rose Sona Bright Jibu, NP's National Provider Identifier is 1720536287, issued on Sep 13, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Hicksville, NY. The record was last updated on Feb 3, 2017.